Brendan Wadlow
Brendan Wadlow is a Pediatric Nutrition Registered Dietitian in Luke AFB, Arizona. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
14185 W Falcon StLuke AFB, AZ 85309-1601
Phone: (928) 232-0764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nutrition Registered Dietitian (primary) | Taxonomy 133VN1004X |
|---|
Record details
| NPI number | 1063106821 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2023 |
| Last updated in NPPES | June 26, 2026 |
| Certification date | June 26, 2026 |
| Mailing address | 14185 W Falcon St, Luke Afb, AZ 85309-1601 |